Individual
JONATHAN JOSEPH JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
916 E 10TH ST, PUEBLO, CO 81001-2913
(404) 940-4758
Mailing address
916 E 10TH ST, PUEBLO, CO 81001-2913
(404) 940-4758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024859
CO
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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